APPLICATION FORM FOR ADMISSION TO COURSE PROGRAMME (M TECH/M DES) 2019 Name of the Candidate : Mr. ANANT JAIN (as it appears in your Degree Certificate) Gender : Male Nationality : Indian Category : General Date of Birth : 05 Oct 1993 State of Domicile : Madhya Pradesh Address for 11/275 PURNIMA BEHIND BLOCK OFFICE, Correspondence : TILAK NAGAR, REWA, Madhya Pradesh PIN Code : 486001 E-mail Address : anantjain40@gmail.com Phone Number : - Mobile Number : +91 - 7772001595 Are you Currently Employed? No Employed Organisation : - Designation : - Experience Details : - GATE Details : Year GATE Roll GATE Paper Score (out of Number 1000) 2017 2018 2019 IN19S45010268 Instrumentation Engineering 718 National Entrance Test Details : National Entrance Test Year Register No. Marks (Out of 100) CEED 2018 CEED 2019
Previous Entrance Test Details :
Preferences of Department(s) / Discipline(s):
I : MICROELECTRONICSAND VLSI DESIGN II : INSTRUMENTATION AND APPLIED PHYSICS III : ELECTRONIC SYSTEMS ENGINEERING IV : - V :- Educational Qualification : Schooling Year of Institution / Board % of Rank Key Subjects Passing School Marks/ CGPA 10th Std 2009 BAL BHARATI CBSE 87.00 - SCHOOL REWA, REWA 12th Std 2011 BAL BHARATI CBSE 88.20 - SCHOOL REWA, REWA
Submitted by Mr. ANANT JAIN on Mar 21 2019 6:28PM
Educational Qualification : Degree (Studying Year of Institution / University Class Rank Key Subjects Sem / Marks / / Completed) Passing College Year GPA BE-Electronics 2016 SGSITS INDORE Any other - 1 7.38/10 and University,MP 2 7.07/10 Instrumentation 3 7.93/10 4 8/10 5 6.73/10 6 6.87/10 7 7.67/10 8 7.93/10 9 10 Qualifying Exam : BE Status : Passed Branch / Specialization: Electronics and Instrumentation University : SGSITS INDORE, Any other University,MP Year of Passing : 2016 Declaration : I Confirm that all the information which I have given in this application is complete and true to the best of my knowledge and belief. If admitted, I will be bound by the rules and regulations of the Institute. Place : REWA